Full Text of SB3255 100th General Assembly
SB3255sam001 100TH GENERAL ASSEMBLY | Sen. Chapin Rose Filed: 3/7/2018
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| 1 | | AMENDMENT TO SENATE BILL 3255
| 2 | | AMENDMENT NO. ______. Amend Senate Bill 3255 by replacing | 3 | | everything after the enacting clause with the following:
| 4 | | "Section 5. The Emergency Medical Services (EMS) Systems | 5 | | Act is amended by changing Sections 3.5, 3.35, 3.40, 3.45, | 6 | | 3.50, 3.55, 3.65, 3.80, 3.87, and 3.165 as follows:
| 7 | | (210 ILCS 50/3.5)
| 8 | | Sec. 3.5. Definitions. As used in this Act:
| 9 | | "Clinical observation" means the on-going observation of a | 10 | | patient's condition by a licensed health care professional | 11 | | utilizing a medical skill set while continuing assessment and | 12 | | care. | 13 | | "Department" means the Illinois Department of Public | 14 | | Health.
| 15 | | "Director" means the Director of the Illinois Department of | 16 | | Public Health.
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| 1 | | "Emergency" means a medical condition of recent onset and | 2 | | severity that
would lead a prudent layperson, possessing an | 3 | | average knowledge of medicine and
health, to believe that | 4 | | urgent or unscheduled medical care is required.
| 5 | | "Emergency Medical Services personnel" or "EMS personnel" | 6 | | means persons licensed as an Emergency Medical Responder (EMR) | 7 | | (First Responder), Emergency Medical Dispatcher (EMD), | 8 | | Emergency Medical Technician (EMT), Emergency Medical | 9 | | Technician-Intermediate (EMT-I), Advanced Emergency Medical | 10 | | Technician (A-EMT), Paramedic (EMT-P), Emergency | 11 | | Communications Registered Nurse (ECRN), or Pre-Hospital | 12 | | Registered Nurse (PHRN) , Pre-Hospital Advanced Practice | 13 | | Registered Nurse (PHAPRN), or Pre-Hospital Physician Assistant | 14 | | (PHPA) . | 15 | | "Health care facility" means a hospital,
nursing home, | 16 | | physician's office or other fixed location at which
medical and | 17 | | health care services are performed. It does not
include | 18 | | "pre-hospital emergency care settings" which utilize EMS | 19 | | personnel to render
pre-hospital emergency care prior to the
| 20 | | arrival of a transport vehicle, as defined in this Act.
| 21 | | "Hospital" has the meaning ascribed to that
term in the | 22 | | Hospital Licensing Act.
| 23 | | "Medical monitoring" means the performance of medical | 24 | | tests and physical exams to evaluate an individual's on-going | 25 | | exposure to a factor that could negatively impact that person's | 26 | | health. "Medical monitoring" includes close surveillance or |
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| 1 | | supervision of patients liable to suffer deterioration in | 2 | | physical or mental health and checks of various parameters such | 3 | | as pulse rate, temperature, respiration rate, the condition of | 4 | | the pupils, the level of consciousness and awareness, the | 5 | | degree of appreciation of pain, and blood gas concentrations | 6 | | such as oxygen and carbon dioxide. | 7 | | "Trauma" means any significant injury which
involves | 8 | | single or multiple organ systems.
| 9 | | (Source: P.A. 98-973, eff. 8-15-14; 99-661, eff. 1-1-17 .)
| 10 | | (210 ILCS 50/3.35)
| 11 | | Sec. 3.35. Emergency Medical Services (EMS) Resource
| 12 | | Hospital; Functions.
The Resource Hospital of an EMS System | 13 | | shall:
| 14 | | (a) Prepare a Program Plan in accordance with the
| 15 | | provisions of this Act and minimum standards and criteria
| 16 | | established in rules adopted by the Department pursuant to
| 17 | | this Act, and submit such Program Plan to the Department | 18 | | for
approval.
| 19 | | (b) Appoint an EMS Medical Director, who will
| 20 | | continually monitor and supervise the System and who will
| 21 | | have the responsibility and authority for total management
| 22 | | of the System as delegated by the EMS Resource Hospital.
| 23 | | The Program Plan shall require the EMS Medical Director | 24 | | to
appoint an alternate EMS Medical Director and establish | 25 | | a
written protocol addressing the functions to be carried |
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| 1 | | out
in his or her absence.
| 2 | | (c) Appoint an EMS System Coordinator and EMS
| 3 | | Administrative Director in consultation with the EMS | 4 | | Medical
Director and in accordance with rules adopted by | 5 | | the Department
pursuant to this Act.
| 6 | | (d) Identify potential EMS System participants and
| 7 | | obtain commitments from them for the provision of services.
| 8 | | (e) Educate or coordinate the education of EMS | 9 | | personnel and all other license holders in accordance with | 10 | | the requirements of this Act,
rules adopted by the | 11 | | Department pursuant to this Act, and
the EMS System Program | 12 | | Plan.
| 13 | | (f) Notify the Department of EMS personnel
who have | 14 | | successfully completed the requirements as provided by law | 15 | | for initial licensure, license renewal, and license | 16 | | reinstatement
by the Department.
| 17 | | (g) Educate or coordinate the education of Emergency
| 18 | | Medical Dispatcher candidates, in accordance with the
| 19 | | requirements of this Act, rules adopted by the Department
| 20 | | pursuant to this Act, and the EMS System Program Plan.
| 21 | | (h) Establish or approve protocols for prearrival
| 22 | | medical instructions to callers by System Emergency | 23 | | Medical
Dispatchers who provide such instructions.
| 24 | | (i) Educate or coordinate the education of
| 25 | | Pre-Hospital Registered Nurse , Pre-Hospital Advanced | 26 | | Practice Registered Nurse, Pre-Hospital Physician |
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| 1 | | Assistant, and ECRN candidates, in accordance with the | 2 | | requirements of
this Act, rules adopted by the Department
| 3 | | pursuant to this Act, and the EMS System Program Plan.
| 4 | | (j) Approve Pre-Hospital Registered Nurse , | 5 | | Pre-Hospital Advanced Practice Registered Nurse, | 6 | | Pre-Hospital Physician Assistant, and ECRN candidates to
| 7 | | practice within the System, and reapprove Pre-Hospital | 8 | | Registered Nurses , Pre-Hospital Advanced Practice | 9 | | Registered Nurses, Pre-Hospital Physician Assistants,
and | 10 | | ECRNs every 4 years in accordance with the
requirements of | 11 | | the Department and the System Program Plan.
| 12 | | (k) Establish protocols for the use of Pre-Hospital | 13 | | Registered Nurses , Pre-Hospital Advanced Practice | 14 | | Registered Nurses, and Pre-Hospital Physician Assistants
| 15 | | within the System.
| 16 | | (l) Establish protocols for utilizing ECRNs and
| 17 | | physicians licensed to practice medicine in all of its
| 18 | | branches to monitor telecommunications from, and give | 19 | | voice
orders to, EMS personnel, under the authority of the | 20 | | EMS
Medical Director.
| 21 | | (m) Monitor emergency and non-emergency medical
| 22 | | transports within the System, in accordance with rules
| 23 | | adopted by the Department pursuant to this Act.
| 24 | | (n) Utilize levels of personnel required by the
| 25 | | Department to provide emergency care to the sick and | 26 | | injured
at the scene of an emergency, during transport to a |
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| 1 | | hospital
or during inter-hospital transport and within the | 2 | | hospital
emergency department until the responsibility for | 3 | | the care
of the patient is assumed by the medical personnel | 4 | | of a
hospital emergency department or other facility within | 5 | | the
hospital to which the patient is first delivered by | 6 | | System
personnel.
| 7 | | (o) Utilize levels of personnel required by the
| 8 | | Department to provide non-emergency medical services | 9 | | during
transport to a health care facility and within the | 10 | | health
care facility until the responsibility for the care | 11 | | of the
patient is assumed by the medical personnel of the | 12 | | health
care facility to which the patient is delivered by | 13 | | System
personnel.
| 14 | | (p) Establish and implement a program for System
| 15 | | participant information and education, in accordance with
| 16 | | rules adopted by the Department pursuant to this Act.
| 17 | | (q) Establish and implement a program for public
| 18 | | information and education, in accordance with rules | 19 | | adopted
by the Department pursuant to this Act.
| 20 | | (r) Operate in compliance with the EMS Region Plan.
| 21 | | (Source: P.A. 98-973, eff. 8-15-14.)
| 22 | | (210 ILCS 50/3.40)
| 23 | | Sec. 3.40. EMS System Participation Suspensions and
Due | 24 | | Process. | 25 | | (a) An EMS Medical Director may suspend from
participation |
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| 1 | | within the System any EMS personnel, EMS Lead Instructor (LI), | 2 | | individual, individual
provider or other participant | 3 | | considered not to be meeting
the requirements of the Program | 4 | | Plan of that approved EMS
System.
| 5 | | (b) Prior to suspending any individual or entity, an EMS | 6 | | Medical Director
shall provide an opportunity for a hearing | 7 | | before the
local System review board in accordance with | 8 | | subsection (f) and the rules
promulgated by the Department.
| 9 | | (1) If the local System review board affirms or | 10 | | modifies the EMS Medical
Director's suspension order, the | 11 | | individual or entity shall have the opportunity for
a | 12 | | review of the local board's decision by the State EMS | 13 | | Disciplinary Review
Board, pursuant to Section 3.45 of this | 14 | | Act.
| 15 | | (2) If the local System review board reverses or | 16 | | modifies the EMS Medical
Director's order, the EMS Medical | 17 | | Director shall have the
opportunity for a review of the | 18 | | local board's decision by the State EMS
Disciplinary Review | 19 | | Board, pursuant to Section 3.45 of this Act.
| 20 | | (3) The suspension shall commence only upon the | 21 | | occurrence of one of the
following:
| 22 | | (A) the individual or entity has waived the | 23 | | opportunity for a hearing before
the local System | 24 | | review board; or
| 25 | | (B) the order has been affirmed or modified by the | 26 | | local system review
board
and the individual or entity |
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| 1 | | has waived the opportunity for review by the State
| 2 | | Board; or
| 3 | | (C) the order has been affirmed or modified by the | 4 | | local system review
board,
and the local board's | 5 | | decision has been affirmed or modified by the State
| 6 | | Board.
| 7 | | (c) An EMS Medical Director may immediately suspend an EMR, | 8 | | EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, PHRN, LI, PHPA, | 9 | | PHAPRN, or other individual or entity if he or she finds that | 10 | | the
continuation in practice by the individual or entity would | 11 | | constitute an
imminent danger to the public. The suspended | 12 | | individual or entity shall be
issued an immediate verbal | 13 | | notification followed by a written suspension order
by the EMS | 14 | | Medical Director which states the
length, terms and basis for | 15 | | the suspension.
| 16 | | (1) Within 24 hours following the commencement of the | 17 | | suspension, the EMS
Medical Director shall deliver to the | 18 | | Department, by messenger, telefax, or other | 19 | | Department-approved electronic communication, a
copy of | 20 | | the suspension order and copies of any written materials | 21 | | which relate
to the EMS Medical Director's decision to | 22 | | suspend the individual or entity. All medical and | 23 | | patient-specific information, including Department | 24 | | findings with respect to the quality of care rendered, | 25 | | shall be strictly confidential pursuant to the Medical | 26 | | Studies Act (Part 21 of Article VIII of the Code of Civil |
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| 1 | | Procedure).
| 2 | | (2) Within 24 hours following the commencement of the | 3 | | suspension, the
suspended individual or entity may deliver | 4 | | to the Department, by messenger,
telefax, or other | 5 | | Department-approved electronic communication, a written | 6 | | response to the suspension order and copies of any written
| 7 | | materials which the individual or entity feels are | 8 | | appropriate. All medical and patient-specific information, | 9 | | including Department findings with respect to the quality | 10 | | of care rendered, shall be strictly confidential pursuant | 11 | | to the Medical Studies Act.
| 12 | | (3) Within 24 hours following receipt of the EMS | 13 | | Medical Director's
suspension order or the individual or | 14 | | entity's written response, whichever is later,
the | 15 | | Director or the Director's designee shall determine | 16 | | whether the suspension
should be stayed pending an | 17 | | opportunity for a hearing or
review in accordance with this | 18 | | Act, or whether the suspension should continue
during the | 19 | | course of that hearing or review. The Director or the | 20 | | Director's
designee shall issue this determination to the | 21 | | EMS Medical Director, who shall
immediately notify the | 22 | | suspended individual or entity. The suspension shall | 23 | | remain
in effect during this period of review by the | 24 | | Director or the Director's
designee.
| 25 | | (d) Upon issuance of a suspension order for reasons | 26 | | directly related to
medical care, the EMS Medical Director |
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| 1 | | shall also provide the individual or entity
with the | 2 | | opportunity for a hearing before the local System review board, | 3 | | in
accordance with subsection (f) and the rules promulgated by | 4 | | the Department.
| 5 | | (1) If the local System review board affirms or | 6 | | modifies the EMS Medical
Director's suspension order, the | 7 | | individual or entity shall have the opportunity for
a | 8 | | review of the local board's decision by the State EMS | 9 | | Disciplinary Review
Board, pursuant to Section 3.45 of this | 10 | | Act.
| 11 | | (2) If the local System review board reverses or | 12 | | modifies the EMS Medical
Director's suspension order, the | 13 | | EMS Medical Director shall have the
opportunity for a | 14 | | review of the local board's decision by the State EMS
| 15 | | Disciplinary Review Board, pursuant to Section 3.45 of this | 16 | | Act.
| 17 | | (3) The suspended individual or entity may elect to | 18 | | bypass the local System review board
and seek direct review | 19 | | of the EMS Medical Director's suspension order by the
State | 20 | | EMS Disciplinary Review Board.
| 21 | | (e) The Resource Hospital shall designate a local System | 22 | | review board in
accordance with the rules of the Department, | 23 | | for the purpose of providing a
hearing to any individual or | 24 | | entity participating within the
System who is suspended from | 25 | | participation by the EMS Medical Director. The
EMS Medical | 26 | | Director shall arrange for a certified shorthand reporter to |
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| 1 | | make a
stenographic record of that hearing and thereafter | 2 | | prepare a transcript of the
proceedings. The transcript, all | 3 | | documents or materials received as evidence
during the hearing | 4 | | and the local System review board's written decision shall
be | 5 | | retained in the custody of the EMS system. The System shall | 6 | | implement a
decision of the local System review board unless | 7 | | that decision has been
appealed to the State Emergency Medical | 8 | | Services Disciplinary Review Board in
accordance with this Act | 9 | | and the rules of the Department.
| 10 | | (f) The Resource Hospital shall implement a decision of the | 11 | | State Emergency
Medical Services Disciplinary Review Board | 12 | | which has been rendered in
accordance with this Act and the | 13 | | rules of the Department.
| 14 | | (Source: P.A. 100-201, eff. 8-18-17.)
| 15 | | (210 ILCS 50/3.45)
| 16 | | Sec. 3.45. State Emergency Medical Services Disciplinary
| 17 | | Review Board. | 18 | | (a) The Governor shall appoint a State Emergency
Medical | 19 | | Services Disciplinary Review Board, composed of an
EMS Medical | 20 | | Director, an EMS System Coordinator, a Paramedic, an Emergency
| 21 | | Medical Technician (EMT), and the following members,
who shall | 22 | | only review cases in which a party is from the
same | 23 | | professional category: a Pre-Hospital Registered Nurse, a | 24 | | Pre-Hospital Advanced Practice Registered Nurse, a | 25 | | Pre-Hospital Physician Assistant, an ECRN, a
Trauma Nurse |
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| 1 | | Specialist, an Emergency Medical
Technician-Intermediate | 2 | | (EMT-I), an Advanced Emergency Medical Technician (A-EMT), a | 3 | | representative from a
private vehicle service provider, a | 4 | | representative from a
public vehicle service provider, and an | 5 | | emergency physician
who monitors telecommunications from and | 6 | | gives voice orders
to EMS personnel. The Governor shall also | 7 | | appoint one
alternate for each member of the Board, from the | 8 | | same
professional category as the member of the Board.
| 9 | | (b) The members
shall be appointed for a term of 3 years. | 10 | | All appointees
shall serve until their successors are | 11 | | appointed. The
alternate members shall be appointed and serve | 12 | | in the same
fashion as the members of the Board. If a member | 13 | | resigns
his or her appointment, the corresponding alternate | 14 | | shall serve the
remainder of that member's term until a | 15 | | subsequent member is
appointed by the Governor.
| 16 | | (c) The function of the Board is to review and affirm,
| 17 | | reverse or modify disciplinary orders.
| 18 | | (d) Any individual or entity, who received an immediate | 19 | | suspension from an EMS
Medical Director may request the Board | 20 | | to reverse or modify
the suspension order. If the suspension | 21 | | had been affirmed
or modified by a local System review board, | 22 | | the suspended individual or entity
may request the Board to | 23 | | reverse or modify the
local board's decision.
| 24 | | (e) Any individual or entity who received a non-immediate | 25 | | suspension order
from an EMS Medical Director which was | 26 | | affirmed or modified
by a local System review board may request |
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| 1 | | the Board to
reverse or modify the local board's decision.
| 2 | | (f) An EMS Medical Director whose suspension order
was | 3 | | reversed or modified by a local System review board may
request | 4 | | the Board to reverse or modify the local board's
decision.
| 5 | | (g) The Board shall meet on the first
Tuesday of every | 6 | | month, unless no requests for review have
been submitted. | 7 | | Additional meetings of the Board shall be
scheduled to ensure | 8 | | that a request for direct
review of an immediate suspension | 9 | | order is scheduled within
14 days after the Department receives | 10 | | the request for review
or as soon thereafter as a quorum is | 11 | | available. The Board
shall meet in Springfield or Chicago, | 12 | | whichever location is
closer to the majority of the members or | 13 | | alternates
attending the meeting. The Department shall | 14 | | reimburse the
members and alternates of the Board for | 15 | | reasonable travel
expenses incurred in attending meetings of | 16 | | the Board.
| 17 | | (h) A request for review shall be submitted in
writing to | 18 | | the Chief of the Department's Division of Emergency
Medical | 19 | | Services and Highway Safety, within 10 days after
receiving the | 20 | | local board's decision or the EMS Medical
Director's suspension | 21 | | order, whichever is applicable, a copy
of which shall be | 22 | | enclosed.
| 23 | | (i) At its regularly scheduled meetings, the Board
shall | 24 | | review requests which have been received by the
Department at | 25 | | least 10 working days prior to the Board's
meeting date. | 26 | | Requests for review which are received less
than 10 working |
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| 1 | | days prior to a scheduled meeting shall be
considered at the | 2 | | Board's next scheduled meeting, except
that requests for direct | 3 | | review of an immediate suspension
order may be scheduled up to | 4 | | 3 working days prior to the
Board's meeting date.
| 5 | | (j) A quorum shall be required for the Board to
meet, which | 6 | | shall consist of 3 members or alternates, including
the EMS | 7 | | Medical Director or alternate and the member or
alternate from | 8 | | the same professional category as the subject
of the suspension | 9 | | order. At each meeting of the Board, the
members or alternates | 10 | | present shall select a Chairperson to
conduct the meeting.
| 11 | | (k) Deliberations for decisions of the State EMS
| 12 | | Disciplinary Review
Board shall be conducted in closed session. | 13 | | Department
staff may attend for the purpose of providing | 14 | | clerical
assistance, but no other persons may be in attendance | 15 | | except
for the parties to the dispute being reviewed by the | 16 | | Board
and their attorneys, unless by request of the Board.
| 17 | | (l) The Board shall review the transcript,
evidence and | 18 | | written decision of the local review board or the
written | 19 | | decision and supporting documentation of the EMS
Medical | 20 | | Director, whichever is applicable, along with any
additional | 21 | | written or verbal testimony or argument offered
by the parties | 22 | | to the dispute.
| 23 | | (m) At the conclusion of its review, the Board
shall issue | 24 | | its decision and the basis for its decision on a form
provided | 25 | | by the Department, and shall submit to the
Department its | 26 | | written decision together with the record of
the local System |
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| 1 | | review board. The Department shall
promptly issue a copy of the | 2 | | Board's decision to all
affected parties. The Board's decision | 3 | | shall be binding on
all parties.
| 4 | | (Source: P.A. 98-973, eff. 8-15-14.)
| 5 | | (210 ILCS 50/3.50)
| 6 | | Sec. 3.50. Emergency Medical Services personnel licensure | 7 | | levels.
| 8 | | (a) "Emergency Medical Technician" or
"EMT" means a person | 9 | | who has successfully completed a course in basic life support
| 10 | | as approved by the
Department, is currently licensed by the | 11 | | Department in
accordance with standards prescribed by this Act | 12 | | and rules
adopted by the Department pursuant to this Act, and | 13 | | practices within an EMS
System. A valid Emergency Medical | 14 | | Technician-Basic (EMT-B) license issued under this Act shall | 15 | | continue to be valid and shall be recognized as an Emergency | 16 | | Medical Technician (EMT) license until the Emergency Medical | 17 | | Technician-Basic (EMT-B) license expires.
| 18 | | (b) "Emergency Medical Technician-Intermediate"
or "EMT-I" | 19 | | means a person who has successfully completed a
course in | 20 | | intermediate life support
as approved
by the Department, is | 21 | | currently licensed by the
Department in accordance with | 22 | | standards prescribed by this
Act and rules adopted by the | 23 | | Department pursuant to this
Act, and practices within an | 24 | | Intermediate or Advanced
Life Support EMS System.
| 25 | | (b-5) "Advanced Emergency Medical Technician" or "A-EMT" |
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| 1 | | means a person who has successfully completed a course in basic | 2 | | and limited advanced emergency medical care as approved by the | 3 | | Department, is currently licensed by the Department in | 4 | | accordance with standards prescribed by this Act and rules | 5 | | adopted by the Department pursuant to this Act, and practices | 6 | | within an Intermediate or Advanced Life Support EMS System. | 7 | | (c) "Paramedic (EMT-P)" means a person who
has successfully | 8 | | completed a
course in advanced life support care
as approved
by | 9 | | the Department, is licensed by the Department
in accordance | 10 | | with standards prescribed by this Act and
rules adopted by the | 11 | | Department pursuant to this Act, and
practices within an | 12 | | Advanced Life Support EMS System. A valid Emergency Medical | 13 | | Technician-Paramedic (EMT-P) license issued under this Act | 14 | | shall continue to be valid and shall be recognized as a | 15 | | Paramedic license until the Emergency Medical | 16 | | Technician-Paramedic (EMT-P) license expires.
| 17 | | (c-5) "Emergency Medical Responder" or "EMR (First | 18 | | Responder)" means a person who has successfully completed a | 19 | | course in emergency medical response as approved by the | 20 | | Department and provides emergency medical response services | 21 | | prior to the arrival of an ambulance or specialized emergency | 22 | | medical services vehicle, in accordance with the level of care | 23 | | established by the National EMS Educational Standards | 24 | | Emergency Medical Responder course as modified by the | 25 | | Department. An Emergency Medical Responder who provides | 26 | | services as part of an EMS System response plan shall comply |
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| 1 | | with the applicable sections of the Program Plan, as approved | 2 | | by the Department, of that EMS System. The Department shall | 3 | | have the authority to adopt rules governing the curriculum, | 4 | | practice, and necessary equipment applicable to Emergency | 5 | | Medical Responders. | 6 | | On the effective date of this amendatory Act of the 98th | 7 | | General Assembly, a person who is licensed by the Department as | 8 | | a First Responder and has completed a Department-approved | 9 | | course in first responder defibrillator training based on, or | 10 | | equivalent to, the National EMS Educational Standards or other | 11 | | standards previously recognized by the Department shall be | 12 | | eligible for licensure as an Emergency Medical Responder upon | 13 | | meeting the licensure requirements and submitting an | 14 | | application to the Department. A valid First Responder license | 15 | | issued under this Act shall continue to be valid and shall be | 16 | | recognized as an Emergency Medical Responder license until the | 17 | | First Responder license expires. | 18 | | (c-10) All EMS Systems and licensees shall be fully | 19 | | compliant with the National EMS Education Standards, as | 20 | | modified by the Department in administrative rules, within 24 | 21 | | months after the adoption of the administrative rules. | 22 | | (d) The Department shall have the authority and
| 23 | | responsibility to:
| 24 | | (1) Prescribe education and training requirements, | 25 | | which
includes training in the use of epinephrine,
for all | 26 | | levels of EMS personnel except for EMRs, based on the |
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| 1 | | National EMS Educational Standards
and any modifications | 2 | | to those curricula specified by the
Department through | 3 | | rules adopted pursuant to this Act.
| 4 | | (2) Prescribe licensure testing requirements
for all | 5 | | levels of EMS personnel, which shall include a requirement | 6 | | that
all phases of instruction, training, and field | 7 | | experience be
completed before taking the appropriate | 8 | | licensure examination.
Candidates may elect to take the | 9 | | appropriate National Registry examination in lieu of the
| 10 | | Department's examination, but are responsible for making
| 11 | | their own arrangements for taking the National Registry
| 12 | | examination. In prescribing licensure testing requirements | 13 | | for honorably discharged members of the armed forces of the | 14 | | United States under this paragraph (2), the Department | 15 | | shall ensure that a candidate's military emergency medical | 16 | | training, emergency medical curriculum completed, and | 17 | | clinical experience, as described in paragraph (2.5), are | 18 | | recognized.
| 19 | | (2.5) Review applications for EMS personnel licensure | 20 | | from
honorably discharged members of the armed forces of | 21 | | the United States with military emergency medical | 22 | | training. Applications shall be filed with the Department | 23 | | within one year after military discharge and shall contain: | 24 | | (i) proof of successful completion of military emergency | 25 | | medical training; (ii) a detailed description of the | 26 | | emergency medical curriculum completed; and (iii) a |
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| 1 | | detailed description of the applicant's clinical | 2 | | experience. The Department may request additional and | 3 | | clarifying information. The Department shall evaluate the | 4 | | application, including the applicant's training and | 5 | | experience, consistent with the standards set forth under | 6 | | subsections (a), (b), (c), and (d) of Section 3.10. If the | 7 | | application clearly demonstrates that the training and | 8 | | experience meets such standards, the Department shall | 9 | | offer the applicant the opportunity to successfully | 10 | | complete a Department-approved EMS personnel examination | 11 | | for the level of license for which the applicant is | 12 | | qualified. Upon passage of an examination, the Department | 13 | | shall issue a license, which shall be subject to all | 14 | | provisions of this Act that are otherwise applicable to the | 15 | | level of EMS personnel
license issued. | 16 | | (3) License individuals as an EMR, EMT, EMT-I, A-EMT,
| 17 | | or Paramedic who have met the Department's education, | 18 | | training and
examination requirements.
| 19 | | (4) Prescribe annual continuing education and
| 20 | | relicensure requirements for all EMS personnel licensure
| 21 | | levels.
| 22 | | (5) Relicense individuals as an EMD, EMR, EMT, EMT-I, | 23 | | A-EMT, PHRN, PHAPRN, PHPA,
or Paramedic every 4 years, | 24 | | based on their compliance with
continuing education and | 25 | | relicensure requirements as required by the Department | 26 | | pursuant to this Act. Every 4 years, a Paramedic shall have |
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| 1 | | 100 hours of approved continuing education, an EMT-I and an | 2 | | advanced EMT shall have 80 hours of approved continuing | 3 | | education, and an EMT shall have 60 hours of approved | 4 | | continuing education. An Illinois licensed EMR, EMD, EMT, | 5 | | EMT-I, A-EMT, Paramedic, ECRN, PHPA, PHAPRN, or PHRN whose | 6 | | license has been expired for less than 36 months may apply | 7 | | for reinstatement by the Department. Reinstatement shall | 8 | | require that the applicant (i) submit satisfactory proof of | 9 | | completion of continuing medical education and clinical | 10 | | requirements to be prescribed by the Department in an | 11 | | administrative rule; (ii) submit a positive recommendation | 12 | | from an Illinois EMS Medical Director attesting to the | 13 | | applicant's qualifications for retesting; and (iii) pass a | 14 | | Department approved test for the level of EMS personnel | 15 | | license sought to be reinstated.
| 16 | | (6) Grant inactive status to any EMR, EMD, EMT, EMT-I, | 17 | | A-EMT, Paramedic, ECRN, PHAPRN, PHPA, or PHRN who
| 18 | | qualifies, based on standards and procedures established | 19 | | by
the Department in rules adopted pursuant to this Act.
| 20 | | (7) Charge a fee for EMS personnel examination, | 21 | | licensure, and license renewal.
| 22 | | (8) Suspend, revoke, or refuse to issue or renew the
| 23 | | license of any licensee, after an opportunity for an | 24 | | impartial hearing before a neutral administrative law | 25 | | judge appointed by the Director, where the preponderance of | 26 | | the evidence shows one or more of the following:
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| 1 | | (A) The licensee has not met continuing
education | 2 | | or relicensure requirements as prescribed by the | 3 | | Department;
| 4 | | (B) The licensee has failed to maintain
| 5 | | proficiency in the level of skills for which he or she | 6 | | is licensed;
| 7 | | (C) The licensee, during the provision of
medical | 8 | | services, engaged in dishonorable, unethical, or
| 9 | | unprofessional conduct of a character likely to | 10 | | deceive,
defraud, or harm the public;
| 11 | | (D) The licensee has failed to maintain or
has | 12 | | violated standards of performance and conduct as | 13 | | prescribed
by the Department in rules adopted pursuant | 14 | | to this Act or
his or her EMS System's Program Plan;
| 15 | | (E) The licensee is physically impaired to
the | 16 | | extent that he or she cannot physically perform the | 17 | | skills and
functions for which he or she is licensed, | 18 | | as verified by a
physician, unless the person is on | 19 | | inactive status pursuant
to Department regulations;
| 20 | | (F) The licensee is mentally impaired to the
extent | 21 | | that he or she cannot exercise the appropriate | 22 | | judgment,
skill and safety for performing the | 23 | | functions for which he
or she is licensed, as verified | 24 | | by a physician, unless the person
is on inactive status | 25 | | pursuant to Department regulations;
| 26 | | (G) The licensee has violated this Act or any
rule |
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| 1 | | adopted by the Department pursuant to this Act; or | 2 | | (H) The licensee has been convicted (or entered a | 3 | | plea of guilty or nolo-contendere) by a court of | 4 | | competent jurisdiction of a Class X, Class 1, or Class | 5 | | 2 felony in this State or an out-of-state equivalent | 6 | | offense. | 7 | | (9) Prescribe education and training requirements in | 8 | | the administration and use of opioid antagonists for all | 9 | | levels of EMS personnel based on the National EMS | 10 | | Educational Standards and any modifications to those | 11 | | curricula specified by the Department through rules | 12 | | adopted pursuant to this Act. | 13 | | (d-5) An EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, | 14 | | PHAPRN, PHPA, or PHRN who is a member of the Illinois National | 15 | | Guard or an Illinois State Trooper or who exclusively serves as | 16 | | a volunteer for units of local government with a population | 17 | | base of less than 5,000 or as a volunteer
for a not-for-profit | 18 | | organization that serves a service area
with a population base | 19 | | of less than 5,000 may submit an application to the Department | 20 | | for a waiver of the fees described under paragraph (7) of | 21 | | subsection (d) of this Section on a form prescribed by the | 22 | | Department. | 23 | | The education requirements prescribed by the Department | 24 | | under this Section must allow for the suspension of those | 25 | | requirements in the case of a member of the armed services or | 26 | | reserve forces of the United States or a member of the Illinois |
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| 1 | | National Guard who is on active duty pursuant to an executive | 2 | | order of the President of the United States, an act of the | 3 | | Congress of the United States, or an order of the Governor at | 4 | | the time that the member would otherwise be required to fulfill | 5 | | a particular education requirement. Such a person must fulfill | 6 | | the education requirement within 6 months after his or her | 7 | | release from active duty.
| 8 | | (e) In the event that any rule of the
Department or an EMS | 9 | | Medical Director that requires testing for drug
use as a | 10 | | condition of the applicable EMS personnel license conflicts | 11 | | with or
duplicates a provision of a collective bargaining | 12 | | agreement
that requires testing for drug use, that rule shall | 13 | | not
apply to any person covered by the collective bargaining
| 14 | | agreement.
| 15 | | (Source: P.A. 98-53, eff. 1-1-14; 98-463, eff. 8-16-13; 98-973, | 16 | | eff. 8-15-14; 99-480, eff. 9-9-15.)
| 17 | | (210 ILCS 50/3.55)
| 18 | | Sec. 3.55. Scope of practice.
| 19 | | (a) Any person currently licensed as an EMR, EMT, EMT-I,
| 20 | | A-EMT, PHRN, PHAPRN, PHPA, or Paramedic may perform emergency | 21 | | and non-emergency medical
services as defined in this Act, in | 22 | | accordance with his or her level of
education, training and | 23 | | licensure, the standards of
performance and conduct prescribed | 24 | | by the Department in
rules adopted pursuant to this Act, and | 25 | | the requirements of
the EMS System in which he or she |
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| 1 | | practices, as contained in the
approved Program Plan for that | 2 | | System. The Director may, by written order, temporarily modify | 3 | | individual scopes of practice in response to public health | 4 | | emergencies for periods not exceeding 180 days.
| 5 | | (a-5) EMS personnel who have successfully completed a | 6 | | Department approved
course in automated defibrillator | 7 | | operation and who are functioning within a
Department approved | 8 | | EMS System may utilize such automated defibrillator
according | 9 | | to the standards of performance and conduct prescribed by the
| 10 | | Department
in rules adopted pursuant to this Act and the | 11 | | requirements of the EMS System in
which they practice, as | 12 | | contained in the approved Program Plan for that
System.
| 13 | | (a-7) An EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | 14 | | Paramedic
who has successfully completed a Department approved | 15 | | course in the
administration of epinephrine shall be required | 16 | | to carry epinephrine
with him or her as part of the EMS | 17 | | personnel medical supplies whenever
he or she is performing | 18 | | official duties as determined by the EMS System. The | 19 | | epinephrine may be administered from a glass vial, | 20 | | auto-injector, ampule, or pre-filled syringe.
| 21 | | (b) An EMR, EMT,
EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | 22 | | Paramedic may practice as an EMR, EMT, EMT-I, A-EMT, or | 23 | | Paramedic or utilize his or her EMR, EMT, EMT-I, A-EMT, PHRN, | 24 | | PHAPRN, PHPA, or Paramedic license
in pre-hospital or | 25 | | inter-hospital emergency care settings or
non-emergency | 26 | | medical transport situations, under the
written or verbal |
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| 1 | | direction of the EMS Medical Director.
For purposes of this | 2 | | Section, a "pre-hospital emergency care
setting" may include a | 3 | | location, that is not a health care
facility, which utilizes | 4 | | EMS personnel to render pre-hospital
emergency care prior to | 5 | | the arrival of a transport vehicle.
The location shall include | 6 | | communication equipment and all
of the portable equipment and | 7 | | drugs appropriate for the EMR, EMT, EMT-I, A-EMT, or | 8 | | Paramedic's
level of care, as required by this Act, rules | 9 | | adopted
by the Department pursuant to this Act, and the | 10 | | protocols of
the EMS Systems, and shall operate only with the | 11 | | approval
and under the direction of the EMS Medical Director.
| 12 | | This Section shall not prohibit an EMR, EMT, EMT-I, A-EMT, | 13 | | PHRN, PHAPRN, PHPA, or Paramedic
from practicing within an | 14 | | emergency department or
other health care setting for the | 15 | | purpose of receiving
continuing education or training approved | 16 | | by the EMS Medical
Director. This Section shall also not | 17 | | prohibit an EMT,
EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic | 18 | | from seeking credentials other than his or her EMT, EMT-I, | 19 | | A-EMT, PHRN, PHAPRN, PHPA, or Paramedic
license and utilizing | 20 | | such credentials to work in emergency
departments or other | 21 | | health care settings under the
jurisdiction of that employer.
| 22 | | (c) An EMT,
EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic | 23 | | may honor Do Not Resuscitate (DNR) orders and powers
of | 24 | | attorney for health care only in accordance with rules
adopted | 25 | | by the Department pursuant to this Act and protocols
of the EMS | 26 | | System in which he or she practices.
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| 1 | | (d) A student enrolled in a Department approved EMS | 2 | | personnel
program, while fulfilling the
clinical training and | 3 | | in-field supervised experience
requirements mandated for | 4 | | licensure or approval by the
System and the Department, may | 5 | | perform prescribed procedures
under the direct supervision of a | 6 | | physician licensed to
practice medicine in all of its branches, | 7 | | a qualified
registered professional nurse, or qualified EMS | 8 | | personnel, only when
authorized by the EMS Medical Director.
| 9 | | (e) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | 10 | | Paramedic may transport a police dog injured in the line of | 11 | | duty to a veterinary clinic or similar facility if there are no | 12 | | persons requiring medical attention or transport at that time. | 13 | | For the purposes of this subsection, "police dog" means a dog | 14 | | owned or used by a law enforcement department or agency in the | 15 | | course of the department or agency's work, including a search | 16 | | and rescue dog, service dog, accelerant detection canine, or | 17 | | other dog that is in use by a county, municipal, or State law | 18 | | enforcement agency. | 19 | | (Source: P.A. 99-862, eff. 1-1-17; 100-108, eff. 1-1-18 .)
| 20 | | (210 ILCS 50/3.65)
| 21 | | Sec. 3.65. EMS Lead Instructor.
| 22 | | (a) "EMS Lead Instructor" means a person who has
| 23 | | successfully completed a course of education as approved
by the | 24 | | Department, and who is currently approved by the
Department to | 25 | | coordinate or teach education, training
and continuing |
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| 1 | | education courses, in accordance with
standards prescribed by | 2 | | this Act and rules adopted by the
Department pursuant to this | 3 | | Act.
| 4 | | (b) The Department shall have the authority and
| 5 | | responsibility to:
| 6 | | (1) Prescribe education requirements for EMS
Lead | 7 | | Instructor candidates through rules adopted pursuant to | 8 | | this
Act.
| 9 | | (2) Prescribe testing requirements for EMS
Lead | 10 | | Instructor candidates through rules adopted pursuant to | 11 | | this
Act.
| 12 | | (3) Charge each candidate for EMS Lead
Instructor a fee | 13 | | to be submitted with an application for an
examination, an | 14 | | application for licensure, and an application for | 15 | | relicensure.
| 16 | | (4) Approve individuals as EMS Lead
Instructors who | 17 | | have met the Department's education and testing
| 18 | | requirements.
| 19 | | (5) Require that all education, training and
| 20 | | continuing education courses for EMT, EMT-I, A-EMT, | 21 | | Paramedic, PHRN, PHPA, PHAPRN, ECRN, EMR, and Emergency | 22 | | Medical
Dispatcher be coordinated by at least one approved | 23 | | EMS Lead
Instructor. A program which includes education, | 24 | | training or
continuing education for more than one type of | 25 | | personnel may
use one EMS Lead Instructor to coordinate the | 26 | | program, and a
single EMS Lead Instructor may |
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| 1 | | simultaneously coordinate
more than one program or course.
| 2 | | (6) Provide standards and procedures for
awarding EMS | 3 | | Lead Instructor approval to persons previously approved
by | 4 | | the Department to coordinate such courses, based on
| 5 | | qualifications prescribed by the Department through rules
| 6 | | adopted pursuant to this Act.
| 7 | | (7) Suspend, revoke, or refuse to issue or renew the | 8 | | approval of an EMS
Lead Instructor, after an opportunity | 9 | | for a hearing, when
findings show one or more of the | 10 | | following:
| 11 | | (A) The EMS Lead Instructor has failed
to conduct a | 12 | | course in accordance with the curriculum
prescribed by | 13 | | this Act and rules adopted by the Department
pursuant | 14 | | to this Act; or
| 15 | | (B) The EMS Lead Instructor has failed
to comply | 16 | | with protocols prescribed by the Department through
| 17 | | rules adopted pursuant to this Act.
| 18 | | (Source: P.A. 98-973, eff. 8-15-14.)
| 19 | | (210 ILCS 50/3.80)
| 20 | | Sec. 3.80. Pre-Hospital Registered Nurse , Pre-Hospital | 21 | | Advanced Practice Registered Nurse, Pre-Hospital Physician | 22 | | Assistant, and Emergency Communications Registered Nurse.
| 23 | | (a) "Emergency Communications Registered Nurse" or
"ECRN" | 24 | | means a registered professional nurse licensed under
the Nurse | 25 | | Practice Act who
has
successfully completed supplemental |
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| 1 | | education in accordance
with rules adopted by the Department, | 2 | | and who is approved by
an EMS Medical Director to monitor | 3 | | telecommunications from
and give voice orders to EMS System | 4 | | personnel, under the
authority of the EMS Medical Director and | 5 | | in accordance with
System protocols. For out-of-state | 6 | | facilities that have Illinois recognition under the EMS, trauma | 7 | | or pediatric programs, the professional shall have an | 8 | | unencumbered registered nurse license in the state in which he | 9 | | or she practices. In this Section, the term "license" is used | 10 | | to reflect a change in terminology from "certification" to | 11 | | "license" only.
| 12 | | (b) "Pre-Hospital Registered Nurse", "PHRN", or | 13 | | "Pre-Hospital RN" means a registered professional nurse | 14 | | licensed under
the Nurse Practice Act who has
successfully | 15 | | completed supplemental education in accordance
with rules | 16 | | adopted by the Department pursuant to this Act,
and who is | 17 | | approved by an EMS Medical Director to practice
within an | 18 | | Illinois EMS System as emergency medical services personnel
for | 19 | | pre-hospital and inter-hospital emergency care and
| 20 | | non-emergency medical transports. For out-of-state facilities | 21 | | that have Illinois recognition under the EMS, trauma or | 22 | | pediatric programs, the professional shall have an | 23 | | unencumbered registered nurse license in the state in which he | 24 | | or she practices. In this Section, the term "license" is used | 25 | | to reflect a change in terminology from "certification" to | 26 | | "license" only.
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| 1 | | (b-5) "Pre-Hospital Advanced Practice Registered Nurse", | 2 | | "PHAPRN", or "Pre-Hospital APRN" means an advanced practice | 3 | | registered nurse licensed under the Nurse Practice Act who has | 4 | | successfully completed supplemental education in accordance | 5 | | with rules adopted by the Department pursuant to this Act, and | 6 | | who has the approval of an EMS Medical Director to practice | 7 | | within an Illinois EMS System as emergency medical services | 8 | | personnel for pre-hospital and inter-hospital emergency care | 9 | | and non-emergency medical transports. For out-of-state | 10 | | facilities that have Illinois recognition under the EMS, trauma | 11 | | or pediatric programs, the professional shall have an | 12 | | unencumbered advanced practice registered nurse license in the | 13 | | state in which he or she practices. | 14 | | (b-10) "Pre-Hospital Physician Assistant", "PHPA", or | 15 | | "Pre-Hospital PA" means a physician assistant licensed under | 16 | | the Physician Assistant Practice Act of 1987 who has | 17 | | successfully completed supplemental education in accordance | 18 | | with rules adopted by the Department pursuant to this Act, and | 19 | | who has the approval of an EMS Medical Director to practice | 20 | | within an Illinois EMS System as emergency medical services | 21 | | personnel for pre-hospital and inter-hospital emergency care | 22 | | and non-emergency medical transports. For out-of-state | 23 | | facilities that have Illinois recognition under the EMS, trauma | 24 | | or pediatric programs, the professional shall have an | 25 | | unencumbered physician assistant license in the state in which | 26 | | he or she practices. |
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| 1 | | (c) The Department shall have the authority and
| 2 | | responsibility to:
| 3 | | (1) Prescribe or pre-approve education and continuing | 4 | | education
requirements for Pre-Hospital Registered Nurse , | 5 | | Pre-Hospital Advanced Practice Registered Nurse, | 6 | | Pre-Hospital Physician Assistant, and ECRN candidates | 7 | | through
rules adopted pursuant to this Act:
| 8 | | (A) Education for a Pre-Hospital Registered Nurse , | 9 | | a Pre-Hospital Advanced Practice Registered Nurse, or | 10 | | a Pre-Hospital Physician Assistant shall
include | 11 | | extrication, telecommunications, EMS System standing | 12 | | medical orders, the procedures and protocols | 13 | | established by the EMS Medical Director, and | 14 | | pre-hospital
cardiac, medical, and trauma care;
| 15 | | (B) Education for ECRN shall include
| 16 | | telecommunications, System standing medical orders and | 17 | | the
procedures and protocols established by the EMS | 18 | | Medical
Director;
| 19 | | (C) A Pre-Hospital Registered Nurse , Pre-Hospital | 20 | | Advanced Practice Registered Nurse, or Pre-Hospital | 21 | | Physician Assistant candidate who is
fulfilling | 22 | | clinical training and in-field supervised
experience | 23 | | requirements may perform prescribed procedures
under | 24 | | the direct supervision of a physician licensed to
| 25 | | practice medicine in all of its branches, a qualified
| 26 | | registered professional nurse or a qualified EMT, only |
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| 1 | | when
authorized by the EMS Medical Director;
| 2 | | (D) An EMS Medical Director may impose in-field | 3 | | supervised field
experience requirements on System
| 4 | | ECRNs as part of their training or continuing | 5 | | education, in
which they perform prescribed procedures | 6 | | under the direct
supervision of a physician licensed to | 7 | | practice medicine in
all of its branches, a qualified | 8 | | registered professional
nurse, or qualified EMS | 9 | | personnel, only when authorized by the EMS
Medical | 10 | | Director;
| 11 | | (2) Require EMS Medical Directors to
reapprove | 12 | | Pre-Hospital Registered Nurses , Pre-Hospital Advanced | 13 | | Practice Registered Nurses, Pre-Hospital Physician | 14 | | Assistants, and ECRNs every 4 years, based on
compliance | 15 | | with continuing education requirements prescribed
by the | 16 | | Department through rules adopted pursuant to this
Act;
| 17 | | (3) Allow EMS Medical Directors to grant
inactive EMS | 18 | | System status to any Pre-Hospital Registered Nurse , | 19 | | Pre-Hospital Advanced Practice Registered Nurse, | 20 | | Pre-Hospital Physician Assistant, or ECRN who qualifies, | 21 | | based
on standards and procedures established by the | 22 | | Department in
rules adopted pursuant to this Act;
| 23 | | (4) Require a Pre-Hospital Registered Nurse , a | 24 | | Pre-Hospital Advanced Practice Registered Nurse, or a | 25 | | Pre-Hospital Physician Assistant to honor Do Not
| 26 | | Resuscitate (DNR) orders and powers of attorney for health
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| 1 | | care only in accordance with rules adopted by the | 2 | | Department
pursuant to this Act and protocols of the EMS | 3 | | System in
which he or she practices;
| 4 | | (5) Charge each Pre-Hospital Registered Nurse , | 5 | | Pre-Hospital Advanced Practice Registered Nurse, | 6 | | Pre-Hospital Physician Assistant, applicant and ECRN | 7 | | applicant a fee for licensure and relicensure. | 8 | | (d) The Department shall have the authority to suspend, | 9 | | revoke, or refuse to issue or renew a Department-issued PHRN , | 10 | | PHAPRN, PHPA, or ECRN license when, after notice and the | 11 | | opportunity for a hearing, the Department demonstrates that the | 12 | | licensee has violated this Act, violated the rules adopted by | 13 | | the Department, or failed to comply with the applicable | 14 | | standards of care. | 15 | | (Source: P.A. 98-973, eff. 8-15-14.)
| 16 | | (210 ILCS 50/3.87) | 17 | | Sec. 3.87. Ambulance service provider and vehicle service | 18 | | provider upgrades; rural population. | 19 | | (a) In this Section, "rural ambulance service provider" | 20 | | means an ambulance service provider licensed under this Act | 21 | | that serves a rural population of 7,500 or fewer inhabitants. | 22 | | In this Section, "rural vehicle service provider" means an | 23 | | entity that serves a rural population of 7,500 or fewer | 24 | | inhabitants and is licensed by the Department to provide | 25 | | emergency or non-emergency medical services in compliance with |
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| 1 | | this Act, the rules adopted by the Department pursuant to this | 2 | | Act, and an operational plan approved by the entity's EMS | 3 | | System, utilizing at least an ambulance, alternate response | 4 | | vehicle as defined by the Department in rules, or specialized | 5 | | emergency medical services vehicle. | 6 | | (b) A rural ambulance service provider or rural vehicle | 7 | | service provider may submit a proposal to the EMS System | 8 | | Medical Director requesting approval of either or both of the | 9 | | following: | 10 | | (1) Rural ambulance service provider or rural vehicle | 11 | | service provider in-field service level upgrade. | 12 | | (A) An ambulance operated by a rural ambulance | 13 | | service provider or a specialized emergency medical | 14 | | services vehicle or alternate response vehicle | 15 | | operated by a rural vehicle service provider may be | 16 | | upgraded, as defined by the EMS System Medical Director | 17 | | in a policy or procedure, as long as the EMS System | 18 | | Medical Director and the Department have approved the | 19 | | proposal, to the highest level of EMT license (advanced | 20 | | life support/paramedic, intermediate life support, or | 21 | | basic life support) or Pre-Hospital APRN, Pre-Hospital | 22 | | PA, or Pre-Hospital RN license certification held by | 23 | | any person staffing that ambulance, specialized | 24 | | emergency medical services vehicle, or alternate | 25 | | response vehicle. The ambulance service provider's or | 26 | | rural vehicle service provider's proposal for an |
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| 1 | | upgrade must include all of the following: | 2 | | (i) The manner in which the provider will | 3 | | secure and store advanced life support equipment, | 4 | | supplies, and medications. | 5 | | (ii) The type of quality assurance the | 6 | | provider will perform. | 7 | | (iii) An assurance that the provider will | 8 | | advertise only the level of care that can be | 9 | | provided 24 hours a day. | 10 | | (iv) A statement that the provider will have | 11 | | that vehicle inspected by the Department annually. | 12 | | (B) If a rural ambulance service provider or rural | 13 | | vehicle service provider is approved to provide an | 14 | | in-field service level upgrade based on the licensed | 15 | | personnel on the vehicle, all the advanced life support | 16 | | medical supplies, durable medical equipment, and | 17 | | medications must be environmentally controlled, | 18 | | secured, and locked with access by only the personnel | 19 | | who have been authorized by the EMS System Medical | 20 | | Director to utilize those supplies. | 21 | | (C) The EMS System shall routinely perform quality | 22 | | assurance, in compliance with the EMS System's quality | 23 | | assurance plan approved by the Department, on in-field | 24 | | service level upgrades authorized under this Section | 25 | | to ensure compliance with the EMS System plan. | 26 | | (2) Rural ambulance service provider or rural vehicle |
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| 1 | | service provider in-field service level upgrade. The EMS | 2 | | System Medical Director may define what constitutes an | 3 | | in-field service level upgrade through an EMS System policy | 4 | | or procedure.
An in-field service level upgrade may | 5 | | include, but need not be limited to, an upgrade to a | 6 | | licensed ambulance, alternate response vehicle, or | 7 | | specialized emergency medical services vehicle. | 8 | | (c) If the EMS System Medical Director approves a proposal | 9 | | for a rural in-field service level upgrade under this Section, | 10 | | he or she shall submit the proposal to the Department along | 11 | | with a statement of approval signed by him or her. Once the | 12 | | Department has approved the proposal, the rural ambulance | 13 | | service provider or rural vehicle service provider will be | 14 | | authorized to function at the highest level of EMT license | 15 | | (advanced life support/paramedic, intermediate life support, | 16 | | or basic life support) or Pre-Hospital RN , Pre-Hospital APRN, | 17 | | or Pre-Hospital PA license certification held by any person | 18 | | staffing the vehicle.
| 19 | | (Source: P.A. 98-608, eff. 12-27-13; 98-880, eff. 1-1-15; | 20 | | 98-881, eff. 8-13-14; 99-78, eff. 7-20-15.)
| 21 | | (210 ILCS 50/3.165)
| 22 | | Sec. 3.165. Misrepresentation.
| 23 | | (a) No person shall hold himself or herself out to be or | 24 | | engage
in the practice of an EMS Medical Director, EMS
| 25 | | Administrative Director, EMS System Coordinator, EMR, EMD, |
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| 1 | | EMT, EMT-I, A-EMT, Paramedic, ECRN, PHRN, PHAPRN, PHPA, TNS, or | 2 | | LI without being licensed,
certified, approved or otherwise | 3 | | authorized pursuant to this
Act.
| 4 | | (b) A hospital or other entity which employs or
utilizes an | 5 | | EMR, EMD, EMT, EMT-I, A-EMT, or Paramedic in a manner which is | 6 | | outside the scope of
his or her license shall not use the words | 7 | | "emergency medical responder", "EMR", "emergency medical | 8 | | technician", "EMT", "emergency medical | 9 | | technician-intermediate", "EMT-I", "advanced emergency medical | 10 | | technician", "A-EMT", or "Paramedic" in that person's job
| 11 | | description or title, or in any other manner hold that
person | 12 | | out to be so licensed.
| 13 | | (c) No provider or participant within an EMS
System shall | 14 | | hold itself out as providing a type or level of
service that | 15 | | has not been approved by that System's EMS
Medical Director.
| 16 | | (Source: P.A. 98-973, eff. 8-15-14.)
| 17 | | Section 99. Effective date. This Act takes effect one year | 18 | | after becoming law.".
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